John Paul Moulder, MDiv, MA
Counselor in Chicago, IL. Individual provider (NPI-1).
NPI number1114403243
StatusActive
Last updated in NPPESJul 11, 2018
Details
- NPI
- 1114403243
- Entity type
- Individual (NPI-1)
- Name
- John Paul Moulder
- Credential
- MDiv, MA
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 11, 2018
- Last updated
- Jul 11, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101Y00000X | Counselor | – | – | Yes |
Practice location
126 E Chestnut StChicago, IL 60611-2014
Phone 312-787-8425
Mailing address
126 E Chestnut StChicago, IL 60611-2014
Phone 312-787-8425
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